| NPI | 1740846559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ISCHAY Office Manager 216-464-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-08-22 |